facial surgery
by Jenny Bryan
smoothing out the lines
Polymers aren't the only implants being used to smooth out facial creases and wrinkles instead of a facelift. Collagen and hyaluronic acid are also being injected as, of course, is botulinum toxin (Botox). Botox doesn't fill the cracks like implants, but paralyses nerves to facial muscles. Knock out the nerves and you'll see fewer lines and wrinkles but, depending on where you have the injections, you may also lose your smile and other facial expressions.
peeling back the years
Facial peels don't get rid of deep lines and wrinkles. But, by removing the dead cells at the surface of the skin, they can minimise fine lines and make the skin look clearer and younger. A mild acid is painted on the face and allowed to peel away the top layers of the skin. At first, the skin underneath is likely to be sore and inflamed but, as this heals, the fresh new skin underneath should look smooth and soft.
suffering for beauty's sake
Taking years off your face doesn't come without some pain and discomfort and it's important to find out exactly what you're letting yourself in for before you go into theatre. Reputable clinics want clients to be fully informed, so they don't have unrealistic expectations.
As cosmetic surgery is rarely available on the NHS, you will probably need to find a surgeon who operates privately. Surgeons who have trained in general surgery should have FRCS after their name. If they perform plastic surgery, including facial operations, they should have had special training in plastic surgery.
The General Medical Council keeps a Specialist Register of Plastic Surgeons who are considered to be suitably trained in plastic surgery. Many of these surgeons are also members of the British Association of Aesthetic Plastic Surgeons (BAAPS). Members of the British Association of Cosmetic Surgeons (BACS) have satisfied that organisation that they are suitably trained to carry out cosmetic procedures. See help and info for contact details, or check out our feature on finding a surgeon for more advice.
(March 2003, resources updated January 2005)



